Healthy Tooth Dental, LLC

NPI #1669706800 in Oak Park, Illinois

Provider Information

NPI Number
1669706800
Entity Type
Organization
Organization Name
Healthy Tooth Dental, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 21, 2009
Last Updated
Dec 3, 2013

Practice Location

Address
719 LAKE ST
ZIP Code
60301-1406
Phone
(708) 386-3200

Authorized Official

Name
MR. EDWARD D LOPEZ
Title
PRESIDENT
Phone
(708) 386-3200

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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